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目的 :评估超声显像对肾上腺皮质肿瘤定位与定性及其鉴别诊断价值。方法 :应用超声显像诊断 81例肾上腺皮质肿瘤 ,经手术与病理证实为柯兴氏症腺瘤 33例 ,腺癌 4例 ,醛固酮症腺瘤 31例 ,性征异常症皮质腺癌7例 ,无功能性腺瘤 6例。结果 :超声显像诊断结果与手术和病理诊断结果对比 ,超声定位诊断符合率占 95.1 % (77/81 ) ;定性诊断符合率占 90 .1 % (73/81 )。结论 :超声显像对肾上腺皮质肿瘤的定位与定性诊断价值较大。但由于不同病理性质肾上腺皮质肿瘤的声像图表现缺乏特异性 ,因此熟练掌握其超声显像技术、诊断与鉴别诊断方法十分重要。
Objective: To evaluate the location and characterization of adrenocortical tumors by ultrasound imaging and its differential diagnostic value. Methods: Eighty-one cases of adrenocortical tumors were diagnosed by ultrasonography. 33 cases of Cushing’s adenoma, 4 cases of adenocarcinoma, 31 cases of aldosterone adenoma and 7 cases of abnormal sign of cortical adenocarcinoma were confirmed by operation and pathology. No functional adenoma in 6 cases. Results: The diagnostic accuracy of ultrasound imaging was 95.1% (77/81) compared with the results of surgery and pathological diagnosis. The coincidence rate of qualitative diagnosis was 90.1% (73/81). Conclusion: The localization and qualitative diagnosis of adrenal cortex tumors by ultrasound imaging are of great value. However, due to the lack of specificity of sonographic features of adrenocortical tumors of different pathological features, it is very important for them to master their ultrasonic imaging technology and to diagnose and differentiate the differential diagnosis methods.